Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Porsche Tiasha Orange-Johnson, FAMILYNURSEPRACTIT

Individual provider Family Nurse Practitioner · NPI 1982327730

Mrs. Porsche Tiasha Orange-Johnson, FAMILYNURSEPRACTIT is a Nurse Practitioner in Waycross, Georgia. Qualified in 2022, 4 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

2108 Screven Ave
Waycross, GA 31501-6047
Phone: (912) 816-3206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN260788 (GA)

Record details

NPI number1982327730
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACTIT
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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